Weigle, Gordon Reese

Weigle, Gordon Reese is an individual health care provider with primary practice located at 880 W Moultrie St Ste 200 , Winnsboro SC 29180-2411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weigle, Gordon Reese can be contacted via phone (803) 635-6461.

Contact Information

Primary practice address
880 W Moultrie St Ste 200 Winnsboro SC 29180-2411
Phone: (803) 635-6461
Fax: (803) 635-4200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X SC8901 South Carolina

Profile Details

NPI number 1093768616
LBN Legal business name Weigle, Gordon Reese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093768616 NPPES
South Carolina MEDICAID 089013

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